Individual
DR. PRAVEEN KUMAR PAVULURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
90 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 262-3744
(207) 262-3745
Mailing address
90 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 262-3744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN 3710
ME
Other
Enumeration date
10/05/2006
Last updated
07/05/2016
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